ILONA BRUECKMANN - Medical Doctor License in Illinois | # 125075107

ILONA BRUECKMANN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075107

License Status

EXPIRED

Business

N

First Name

ILONA

Last Name

BRUECKMANN

Business Name

ILONA BRUECKMANN

Original Issue Date

06/23/2019

Effective Date

06/23/2019

Expiration Date

06/22/2022

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

10/11/2022